睡眠与注意力缺陷/多动障碍儿童的睡眠与问题行为之间的关系
Fanar Ghanim1, Kelsey Harkness1, Bevin Wiley1
1Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
European journal of pediatrics
|June 2, 2025
概括
父母报告的ADHD儿童的睡眠问题与行为问题相关,与可穿戴睡眠追踪器的数据不同. 这些发现强调了主观睡眠报告在理解ADHD和儿童福祉方面的重要性.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿科睡眠科学 儿科睡眠科学
- 儿童心理学 儿童心理学
背景情况:
- 患有注意力缺陷/多动障碍 (ADHD) 的儿童比神经类型儿童更容易经历父母报告的睡眠困难.
- 商业上可用的动图没有显示ADHD和没有ADHD的儿童之间睡眠模式的差异.
- 行为摄影测量睡眠与父母报告的儿童行为困难没有相关性.
研究的目的:
- 为了研究睡眠障碍和儿童被诊断患有多动症的行为问题之间的关系.
- 为了比较来自家长报告 (SDSC) 和可穿戴动图 (Fitbit) 的睡眠数据,与ADHD相关的行为相关.
- 确定ADHD儿童行为和情绪反应的关键决定因素,重点关注睡眠质量.
主要方法:
- 利用了来自青少年大脑认知发展 (ABCD) 数据库的数据.
- 包括212名10-13岁的多动症儿童和212名年龄/性别匹配的对照.
- 通过儿童睡眠障碍量表 (SDSC) 和可穿戴行动图 (Fitbit) 收集睡眠数据;从儿童行为检查清单 (CBCL) 收集行为数据.
主要成果:
- 在使用SDSC的ADHD和对照组之间发现了睡眠参数的显著差异,但没有使用可穿戴的动画.
- ADHD诊断,家庭收入和特定的SDSC分数与CBCL上的问题行为得分有显著的关联.
- 包括睡眠延迟在内的可穿戴动态图测量与问题行为得分没有显著的相关性.
结论:
- 父母报告的睡眠困难与ADHD儿童的行为和情绪反应有关,而可穿戴的行为摄影测量并非如此.
- 对ADHD儿童睡眠的全面评估应包括家长报告,直接睡眠测量和行为评估.
- 了解主观睡眠体验对于解决ADHD儿童的健康和功能至关重要.
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